Provider Demographics
NPI:1235276262
Name:PAULINO, AUGUSTO FELIX GERODIAS (MD)
Entity Type:Individual
Prefix:DR
First Name:AUGUSTO FELIX
Middle Name:GERODIAS
Last Name:PAULINO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:460 E 79TH ST APT 6F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-1418
Mailing Address - Country:US
Mailing Address - Phone:718-920-4976
Mailing Address - Fax:718-920-7611
Practice Address - Street 1:111 E 210TH ST
Practice Address - Street 2:MONTEFIORE MED CTR, PATHOLOGY DEPT, NORTH4 SILVER ZONE
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-2401
Practice Address - Country:US
Practice Address - Phone:718-920-4976
Practice Address - Fax:718-920-7611
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY236234-1207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG80873Medicare UPIN